| NPI | 1740800713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM LICHTSCHEIN Member 732-840-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |